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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOrt OP ICE USE ONLY <br /> ADDRESS OR LEGAL: 21(0 0 Gj i,IN11 zi rA (3 C,q 0 <br /> PID: <br /> DESCRIPTION OF WORK: NO011nor.i 6e S(6P.) <br /> ZONING REVIEW BY: 411,0 &04,\ <br /> DATE APPROVED: [-Li-4Y <br /> BUILDING REVIEW BY: r\1 bar DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes <br /> PLAN REVIEW Yes A No SEWER CONNECTION <br /> STATE SURCHARGE Yes ' No ' WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Width Depth: <br /> / <br /> Survey Submit Yes No f Date of Survey• <br /> Proposed Set •ac : <br /> Front ( ake : Right 'ide: <br /> Rear (S reet : I Left Side: / <br /> Adjacent Structures: tland: <br /> / <br /> Building Heicht: D= . Hgt. 1M Peak Hgt. <br /> Avg. Setback: Lot ( overage: <br /> E isting P .posed <br /> Hardcover: 0- 5 ' <br /> 75-2.0 ' <br /> 250-510 ' I Al <br /> 500-1010 ' , <br /> i <br /> Hardcover Var'ance Require. : Yes No Date • ouncil Approval: <br /> Grading: Staff Approval Dat= : By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File:# Resolution #: Resolution Date: <br /> REMARKS (in house) : <br />